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May 19, 2017

TCEM: 5 things to know about fraud investigations >>

Over the past two years, there has been a surge in treatment program investigations as part of a broader focus on fraud, waste and abuse. Investigative units from federal and state agencies as well as commercial insurers are devoting more resources to the examination of billing and marketing practices.   Read More

 

May 3, 2017

Is the American Health Care Act rising from the dead? >>

On April 26, 2017, the Freedom Caucus, a group of conservative House Republicans, announced its tentative agreement on the terms of a compromise amendment crafted by Tom MacArthur (R-N.J.) to the American Health Care Act.  The MacArthur Amendment [1] has the potential to unite House Republicans and move the American Health Care Act (AHCA) through the House.   Read More

 

April 19, 2017

Avoid Fraud: AATA's Patient Financial Responsibility Toolkit Answers Call from the Addiction Treatment Industry >>

The American Addiction Treatment Association (AATA) published the Patient Financial Responsibility Toolkit to answer burning questions that are troubling the addiction treatment industry.  Insurers are accusing providers and programs of fraud and abuse when they offer discounts and waive fees.  What’s legal and what’s abusive?   What approach should programs and professionals take to avoid a world of trouble in mishandling patient financial responsibility?  Read More

 

April 18, 2017

Recovery View Featured Member: American Addiction Treatment Association >>

“Our mission is to provide clarity on compliance and standards for the addiction treatment world. Confusion about licensing, operations and reimbursement are fundamental challenges facing the industry,” said Harry Nelson, J.D. As Chair of the Board of the American Addiction Treatment Association (AATA), Nelson draws on 23 years of experience solving legal and regulatory problems for healthcare industry clients.  Read More

 

April 5, 2017

Healthcare Fraud Prevention Partnership Targets Opioid Abuse >>

The perpetration of fraud negatively impacts every sector of healthcare, including (and perhaps especially) the abuse of prescription drugs. So it makes sense that parties with different agendas and priorities across a variety of industries would throw their weight together in trying to stamp out fraud and abuse when it comes to a category of drug that is highly susceptible to being abused.  Read More

 

March 10, 2017

The House Republican bill to replace the Affordable Care Act: What treatment centers need to know >>

On March 6, 2017, the American Health Care Act (AHCA) was introduced in the United States House of Representatives as the fulfillment of the Republicans’ promise to repeal and replace the Affordable Care Act (ACA). The AHCA according to House Speaker Paul Ryan, “means lower costs, more choices, and greater control over your healthcare.”  Read More

 

February 22, 2017

Avoiding Fraud and Abuse Claims in Addiction Treatment: Tips for Getting and Staying in Compliance >>

Until relatively recently, most addiction treatment services were considered a luxury item: recovering addicts would pay cash for their time getting clean in fancy facilities.  Insurance companies generally weren’t asked to reimburse for treatment and the government was not incentivized to regulate or supervise treatment programs.  Read More

 

February 17, 2017

HHS Finalizes Rule Updating Substance Use Disorder Px Records Confidentiality Regs >>

Until last month, the applicable federal regulations governing confidentiality of patient records for substance abuse disorders had been in place since 1987—the same year President Reagan told Gorbachev to “tear down this wall” and Windows 2.0 was introduced. SAMHSA recently published its long-awaited final rules which are scheduled to take effect on February 17, 2017.  Read More

 

February 7, 2017

California Healthcare News: Whither TrumpCare >>

Until last month, the applicable federal regulations governing confidentiality of patient records for substance abuse disorders had been in place since 1987—the same year President Reagan told Gorbachev to “tear down this wall” and Windows 2.0 was introduced. SAMHSA recently published its long-awaited final rules which are scheduled to take effect on February 17, 2017.  Read More

 

February 3, 2017

FAQs: What new SAMHSA confidentiality regulations mean to you >>

Until last month, the applicable federal regulations governing confidentiality of patient records for substance abuse disorders had been in place since 1987—the same year President Reagan told Gorbachev to “tear down this wall” and Windows 2.0 was introduced. SAMHSA recently published its long-awaited final rules which are scheduled to take effect on February 17, 2017.  Read More

 

January 25, 2017

Clarity on Parity: What’s Ahead for Addiction Treatment Reimbursement and Mental Health Parity? >>

With the election of President Donald Trump and the recent repeal (or, more accurately, defunding) of the Affordable Care Act, what should addiction treatment providers expect with respect to mental health parity and access to insurance coverage?  Read More

 

January 17, 2017
Choosing The Right Addiction Treatment Program >>

Choosing the right addiction treatment program for yourself or a loved one can be tricky business. Visiting the Internet brings a flood of information, much of it well-crafted marketing with pitches for programs across the country. At the same time, media reports bring news of troubling issues at addiction treatment programs. Some of the stories raise question about the effectiveness of particular approaches; others raise more serious safety concerns? What should participants and their friends and families be looking out for?  Read More

 

December 15, 2016

Harry Nelson Published “Cures Act: Healthcare Innovation, Grab Bag giveaway, or Both?” >>

Harry Nelson contributed an article to The Hill titled “Cures Act: Healthcare innovation, grab bag giveaway, or both?”.

For all the media attention that it is getting, the impending repeal of the Affordable Care Act (ACA) that Republicans are promising when the 115th Congress convenes is arguably only the second most significant piece of legislation in terms of its impact on U.S. healthcare. Read More

 

December 5, 2016
The New Normal? Avoiding Risk and Preparing for Growing Scrutiny of Addiction Treatment >>

Recent weeks have brought headlines of law enforcement crackdowns on addiction treatment: federal, state, and local raids on sober living and residential rehab operators, arrests, and charges of fraud or other misconduct. National news also reflects a trend of growing federal and local law enforcement coordinating to prosecute fraud by laboratories, addiction treatment marketers, and others in the industry.  Is this the “new normal”? Read More

 

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